Obstructed labor due to breech presentation digital illustration

Obstructed labor due to breech presentation Save


ICD-10 code: O64.1

Chapter: Pregnancy, childbirth and the puerperium

Obstructed Labor Due to Breech Presentation

Obstructed labor is a medical emergency that occurs when the baby’s head or body gets stuck in the birth canal during delivery. Breech presentation is a type of obstructed labor that occurs when the baby is positioned feet or buttocks first instead of head first. This condition can lead to serious complications for both the mother and the baby if not managed properly.

There are several risk factors that increase the chances of breech presentation, including premature birth, multiple pregnancies, and abnormalities in the uterus or placenta. The diagnosis of breech presentation is usually made during routine prenatal visits, where the healthcare provider will perform a physical examination to determine the position of the baby.

  1. External Cephalic Version
  2. A procedure called external cephalic version (ECV) can be performed to try to turn the baby into the head-first position before labor begins. This procedure is typically done around 36 weeks of pregnancy under close supervision by a healthcare provider. ECV is successful in about half of all cases, but it can also cause complications such as premature labor or fetal distress.

  3. Cesarean Section
  4. If a baby is still in the breech position at the time of delivery, a cesarean section may be necessary to deliver the baby safely. This procedure involves making an incision in the mother’s abdomen and uterus to deliver the baby. Although a cesarean section is a major surgery with some risks, it is usually considered a safe option for delivering a breech baby.

  5. Vaginal Breech Delivery
  6. In some cases, a vaginal delivery may be possible if the baby is in the breech position. However, this type of delivery is associated with higher risks of complications for both the mother and the baby. Vaginal breech delivery is typically only recommended for women who have had previous vaginal deliveries and whose babies are in a certain position.

It is important for women with breech presentation to receive specialized care from experienced healthcare providers to ensure the best possible outcome for both the mother and the baby. If you are pregnant and have any concerns about your baby’s position, talk to your healthcare provider to discuss your options.